title: Right pulmonary artery to left atrial fistula: a rare presentation.
abstract: Right pulmonary artery to left atrial fistula is a rare congenital vascular anomaly which usually presents with cyanosis, clubbing, dyspnea, and signs and symptoms of a right to left shunt. Paradoxical embolism to the brain resulting in cerebral abscess formation and death is a rare and ominous complication that has been described. We describe an unusual presentation with abdominal pain resulting from splenic infarction.
authors.affiliation: Division of Pediatric Cardiac Surgery, Section of Cardiac Surgery, The University of Michigan Medical School Ann Arbor, MI, USA.
authors.forename: Minoo N
authors.initials: MN
authors.lastname: Kavarana
authors.forename: Eric J
authors.initials: EJ
authors.lastname: Devaney
authors.forename: Maria L
authors.initials: ML
authors.lastname: Torres
authors.forename: Timothy
authors.initials: T
authors.lastname: Cotts
keywords: congenital heart disease (CHD); congenital heart surgery; fistula; pulmonary arteries